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Busting Down the Myths about Benefits and Work Office of Vocational Rehabilitation Services
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Bust the Myths Combination of public benefits create a basic safety net Each benefit has it’s own set of work rules Complexity of the rules create MYTHS! Office of Vocational Rehabilitation Services Page 2
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Know the FACTS Benefit programs have work rules that support working- Work Incentives Don’t let the complexity and myths be a barrier to employment Know and Share the FACTS Office of Vocational Rehabilitation Services Page 3
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Office of Vocational Rehabilitation Services THE BASICS: SSDI PAYMENT AND MEDICARE SSDI – Cash Benefit: Meet SSA definition of disability, and Be “insured” or draw off “insured” worker who is disabled, retired, deceased Check amount based on work history No asset test SSDI – Health Insurance: Medicare (after 24 month waiting period) Page 4
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SGA Countable Income Test Summary Page 5 The Basic SGA Test $ Gross Wages (earned in a month) (-) $ Sick/Vacation/Holiday pay (-) $ IRWE (-) $ Subsidy/Special Conditions (-) $ Unincurred Business Expenses/Unpaid Help (=) $ Countable Earnings SSA uses Countable Earnings to determine if earnings are above or below SGA
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Office of Vocational Rehabilitation Services THE BASICS: SSI PAYMENT AND MEDICAID (OHP+) SSI – Cash Benefit: Meet SSA definition of disability; Little to no assets (less than $2,000-individual); Little to no income (countable income less than $721individual/2014); Check amount-maximum $721 (individual/2014), lower if other income SSI – Health Insurance: Medicaid (OHP+) Page 6
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Page 7 Step 1: Countable Unearned Income $______ Unearned Income (-) $______ General Income Exclusion ($20) (=) $______ Countable Unearned Income Step 2: Countable Earned Income $______ Earned Income (-) $______ Student Earned Income Exclusion (SEIE) (-) $______ General Income Exclusion (if not used) (-) $______ Earned Income Exclusion ($65) (-) $______ Impairment Related Work Expense (IRWE) (=) $______ Remainder (/) Divide by 2 (-) $______ Blind Work Expense (BWE) (=) $______ Countable Earned Income
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Page 8 Step 3: Total Countable Income $______ Countable Unearned Income (Step 1) (+) $______ Countable Earned Income (Step 2) (=) $______ Total Countable Income Step 4: Adjusted SSI Check Amount $______ Federal Benefit Rate ($721/$1,082/480.66) (-) $______ Total Countable Income (Step 3) (=) $______ Adjusted SSI Check Amount Step 5: Total Income $________ Unearned Income (+) $________ Adjusted SSI check (+) $________ Earned Income (=) $________ Total Income
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Office of Vocational Rehabilitation Services 7 MYTHS AND THE REAL FACTS Myth #1: Benefit Program Rules Determine How Much I can Earn FACT #1: Combining Several Work Incentives can Support you in Reaching your Work Goal! Determine your work goal (type, amount, wage) Page 9
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7 MYTHS AND THE REAL FACTS Myth #2: I will lose my SSDI if I work FACT #2: Work Incentives exist that allow you to maintain the SSDI check or eligibility status when you work: Trial Work Period Extended Period of Eligibility Impairment Related Work Expenses, Subsidy, Unsuccessful Work Attempts Office of Vocational Rehabilitation Services Page 10
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7 MYTHS AND THE REAL FACTS Myth #3: I’ll lose my Medicare if I work FACT #3: There are 2 Work Incentives that allow you to maintain Medicare indefinitely! Extended Period of Medicare Coverage Medicare for People with Disabilities Who Work Office of Vocational Rehabilitation Services Page 11
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7 MYTHS AND THE REAL FACTS Myth #4: I get SSI and have heard I will have less money when I work FACT #4: Work Incentives exist to make sure you financially get ahead when you work Basic deductions: General Income Exclusion, Earned Income Exclusion, One-Half Disregard Additional deductions: Student Earned Income Exclusion, Impairment Related Work Expenses, Blind Work Expenses Office of Vocational Rehabilitation Services Page 12
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7 MYTHS AND THE REAL FACTS Myth #5: I have to keep a $1 of SSI or I’ll lose my Medicaid (OHP+) FACT #5: If EARNINGS cause SSI to drop to $0, you can KEEP MEDICAID! 1619b- earn at least $32,725/year (2014) and keep Medicaid Employed Persons with Disabilities- earn at least $58,500/year and keep Medicaid (2014) Office of Vocational Rehabilitation Services Page 13
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7 MYTHS AND THE REAL FACTS Myth #6: There are not any resources to help me reach my work goal of self-sufficiency FACT #6: There are work incentives that match funds you set aside to pay for work expenses Plan for Achieving Self Support Individual Development Account Office of Vocational Rehabilitation Services Page 14
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7 MYTHS AND THE REAL FACTS Myth #7: If I work I’ll end up with an overpayment FACT #7: There are strategies to prevent overpayments Report regularly; Get a receipt from SSA to document you reported; and Create a folder to save paystubs and SSA letters Office of Vocational Rehabilitation Services Page 15
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Final Questions?? Office of Vocational Rehabilitation Services Page 16
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Work Incentives Programs in Oregon The Work Incentives Network Paula Fitch: paula.fitch@state.or.us Gene Rada: eugene.e.rada@state.or.us Plan for Work (Disability Rights Oregon) Arlene Jones: ajones@DROregon.org Office of Vocational Rehabilitation Services
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